Anthony J Scardina in Canton - Physician Assistant
Anthony J Scardina - NPI 1508810771
Anthony J Scardina is a Physician Assistant in Canton, Illinois. Anthony J Scardina practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Anthony J Scardina is 1508810771. The last update date is 2021-04-13.
Anthony J Scardina's current location address is 180 South Main Street, Canton, Illinois. You can contact this provider via phone number 3096470201 and fax number 3096495101. The mailing address for Anthony J Scardina is 180 South Main Street, Canton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony J Scardina |
|---|---|
| Address | 180 South Main Street, Canton, Illinois |
| Phone Number | 3096470201 |
| Fax Number | 3096495101 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1508810771 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2021-04-13 |
Provider Mailing Address Detail
| Address | 180 South Main Street |
|---|---|
| City | Canton |
| State | Illinois (IL) |
| Post Code | 615202608 |
| Phone Number | 3096470201 |
| Fax Number | 3096495101 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 8500268 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| IL0102 | IL | JOHN DEERE | |
| 7230175 | IL | BLUE CROSS BLUE SHIELD | |
| 970019987 | IL | RR MEDICARE | |
| 850002698 | IL | -- | |
| 21651 | IL | HEALTH ALLIANCE | |
| 4281670001 | IL | DME |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Anthony J Scardina by the Centers for Medicare & Medicaid Services?
The Anthony J Scardina has been issued the NPI (National Provider Identifier) 1508810771 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Anthony J Scardina?
The Anthony J Scardina is physically situated at 180 South Main Street, in the city of Canton, state of IL, with the postal code 615202608.
What is Anthony J Scardina's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Anthony J Scardina's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508810771 to Anthony J Scardina?
The Centers for Medicare & Medicaid Services originally issued the 1508810771 to Anthony J Scardina on 2006-05-20.
As of what date was the information regarding Anthony J Scardina, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Anthony J Scardina, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-04-13.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY